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At 1upHealth, we’re proud to say that 100% of our workforce is based in the United States. In an industry where many vendors are offshoring critical healthcare operations and data handling, we’ve taken a firm stance: No off-shoring.
This means that none of our 1up solutions – including the 1up Platform – are accessible from outside the country. No work is performed, no environments are accessed, and no healthcare data is hosted or transmitted offshore. Full stop.
This decision is rooted in two core beliefs:
- US healthcare dollars should stay in the US. This is especially true for taxpayer-funded Medicare and Medicaid programs.
- Protected Health Information (PHI) should never cross international borders. Moreover, individuals with access to data should never be located outside the US.
A Rising Tide of Offshore Risk
Across the industry, it’s been documented that some healthcare technology vendors are sending sensitive patient data overseas, often in violation of Medicaid and Medicare contracts or in legal gray areas that put patient privacy and public trust at risk.
In many cases, offshore operations are tied to cost-cutting measures that displace US workers and reroute taxpayer-funded healthcare dollars abroad. Beyond the economic impact, these practices raise significant concerns about compliance, accountability, and the real-world security of PHI.
The 1upHealth Commitment: No Offshore Labor. Ever.
Every single 1upHealth employee and contractor is US-based. That includes our engineers, data analysts, customer support teams, and compliance staff. Here’s why that matters:
1. Keeping Public Funds in the US
Much of 1upHealth’s work is funded by federal and state healthcare programs like Medicare and Medicaid. From both a fiscal and ethical point of view, we believe it’s essential to keep that funding within the US economy. When State Medicaid groups and payers with Medicare lines of business hire 1upHealth, they’re supporting American jobs, communities, and innovation.
2. Protecting Data Under US Laws
Offshoring PHI introduces serious security and compliance risks. Despite claims that offshore operations use “deidentified data” and/or “secure environments,” audits and reviews consistently show higher error rates and increased data breach potential when overseas teams are involved.
In addition, HIPAA protections don’t extend effectively beyond US borders, and enforcement is nearly impossible when violations occur abroad.
Our US-based operations ensure that all data remains under the jurisdiction of US law, allowing us to fully uphold the privacy and security expectations of patients, providers, and government agencies.
Key Questions to Ask When Evaluating Health Data Management Providers
To ensure your health data is safe, when considering a vendor for healthcare data exchange or analytics, health plans should ask:
- Do you offshore any labor associated with engineering, support, or compliance?
- Are any of your contractors or subcontractors located outside the US?
- If offshore operations exist, do they include access to PHI, deidentified data, or infrastructure supporting US health programs?
- What legal protections apply if a breach occurs in an offshore environment?
- How do you ensure taxpayer-funded healthcare dollars remain in the US?
- What is your policy for responding to state laws that prohibit offshoring of health data?
Patients Deserve Better. So Do States.
As a mission-driven company, we believe patients have a right to know where their data lives and US State-run Medicaid agencies have a duty to enforce data protection laws. For example, the State of Florida enacted legislation banning the offshoring of health data, reflecting growing concern about risks to privacy, accountability, and economic impact among lawmakers.
States that invest billions in Medicaid contracts should never be left uncertain about whether foreign labor is handling their most vulnerable populations’ health data.
At 1upHealth, our position is simple: We are fully committed to domestic data exchange and storage, domestic labor, and domestic accountability.
Doubling Down on Trust, Security, and Integrity
In an era when many healthcare technology vendors are chasing profit margins overseas, 1upHealth is doubling down on trust, security, and integrity right here at home.
Our 100% US-based team enables us to maintain tight alignment between engineering, services, and support – ensuring faster implementations, quicker resolution of issues, and stronger in-house platform knowledge. This creates a higher standard of accountability, responsiveness, and operational excellence.
By pairing uncompromising data-residency principles with cutting-edge automation, 1upHealth delivers secure, scalable, and standards-based interoperability that customers can trust. To learn more about our commitment to security and excellence, contact us here.